Medical Coding Guide

CPT CODE — Open Reduction of Fracture – Open reduction of fracture or dislocation of long bones with our without internal or external fixation; does not include placement of joint prosthesis Procedure Code Category CPT Codes Code Description CPT CODE 23615 Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; CPT CODE 23616 Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; with proximal humeral prosthetic…

CPT CODE — Spinal fusion or refusion – Immobilization of spinal column Procedure Code Category CPT Codes Code Description CPT CODE 22532 Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic CPT CODE 22533 Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar CPT CODE 22548 Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process CPT CODE 22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord…

CPT CODE — Cesarean section – Obstetrical delivery by cesarean section Procedure Code Category CPT Codes Code Description CPT CODE 59100 Hysterotomy, abdominal (e.g., for hydatidiform mole, abortion) CPT CODE 59510 Routine obstetric care including antepartum care, cesarean delivery, and postpartum care CPT CODE 59514 Cesarean delivery only; CPT CODE 59515 Cesarean delivery only; including postpartum care CPT CODE 59618 Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery CPT CODE 59620 Cesarean delivery only, following attempted vaginal delivery after…

AAA — Abdominal Aortic Aneurysm Repair – Resection of abdominal aorta with anastomosis or replacement AAA 34830 Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis AAA 34831 Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis AAA 34832 Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis AAA 35081 Direct repair of aneurysm, pseudoaneurysm, or excision…

AMP — Limb Amputation – Total or partial amputation or disarticulation of the upper or lower limbs, including digits Procedure Code  Category CPT Codes   Code Description AMP 23900 Interthoracoscapular amputation (forequarter) AMP 23920 Disarticulation of shoulder AMP 24900 Amputation, arm through humerus; with primary closure AMP 24920 Amputation, arm through humerus; open, circular (guillotine) AMP 24930 Amputation, arm through humerus; re-amputation AMP 24931 Amputation, arm through humerus; with implant AMP 25900 Amputation, forearm, through radius and ulna AMP 25905 Amputation, forearm, through radius and ulna; open, circular (guillotine) AMP 25909…

APPY — Appendix Surgery – Operation of appendix Procedure Code Category CPT Codes Code Description APPY 44900 Incision and drainage of appendiceal abscess; open APPY 44950 Appendectomy APPY 44955 Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in No changeition to code for primary procedure) APPY 44960 Appendectomy; for ruptured appendix with abscess or generalized peritonitis APPY 44970 Laparoscopy, surgical, appendectomy APPY 44979 Unlisted laparoscopy procedure, appendix

AVSD — Shunt for dialysis – Arteriovenostomy for renal dialysis Procedure Code Category CPT Codes Code Description AVSD 36800 Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein AVSD 36810 Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) AVSD 36815 Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure AVSD 36818 Arteriovenous anastomosis, open; by upper arm cephalic vein transposition AVSD 36819 Arteriovenous anastomosis, open; by upper arm basilic vein transposition AVSD 36820 Arteriovenous anastomosis, open; by…

BILI — Bile duct, liver or pancreatic surgery – Excision of bile ducts or operative procedures on the biliary tract, liver or pancreas (does not include operations on gallbladder only) Procedure Code Category CPT Codes Code Description BILI 47010 Hepatotomy; for open drainage of abscess or cyst, 1 or 2 stages BILI 47015 Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) BILI 47100 Biopsy of liver, wedge BILI 47120 Hepatectomy, resection of liver; partial lobectomy BILI 47122 Hepatectomy, resection of liver; trisegmentectomy BILI…